TONY BLECKLEY (PT) – Physical Therapist, NPI 1619971207
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,334 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN
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Provider Addresses for TONY BLECKLEY (PT)
Kingsport, Sullivan County, Tennessee, United States
KINGSPORT, TN 376620009
Phone: (423) 857-2066
Fax: (423) 857-2070
Type: Mailing
West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States
1D
KINGSPORT, TN 376603256
Phone: (423) 578-1560
Fax: (423) 392-7055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040303000792 | I | Physical Therapist In Private Practice | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,507 | 149 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 804 | 99 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 135 | 124 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 36 | 23 | $0 |
Insurance plans in this area (ZIP 37662)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | TN | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 1280 | 109 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Family Practice | VA | |
| - | TN |
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